DISTRIBUTION:
NODIS

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1. POLICY

The Office of the Chief Health and Medical Officer (OCHMO) shall provide and maintain the necessary
medical systems to support medical operations for human space flight. OCHMO will accomplish this task through interaction with the
Human Exploration and Operations Mission Directorate (HEOMD) which will provide and maintain the necessay medical systems to support medical operations for human space flight and produce and deliver health-related
research products and deliverables.

2. APPLICABILITY

a. This NPD is applicable to NASA Headquarters and all NASA Centers, including Component Facilities and Technical and Service Support Centers. This language applies to Jet Propulsion Laboratory, a Federally Funded Research and Development Center, and other contractors to the extent specified or referenced in the appropriate contracts or agreements.

b. In this NPD "shall" denotes a mandatory requirement, "may" or "can" denotes a discretionary privilege or permission, "should" denotes a good practice, and "will" denotes an expected outcome.

3. AUTHORITY

a. 51 U.S.C. 20113(a) of the National Aeronautics and Space Act of 1958, as amended.

5. RESPONSIBILITY

a. The HEOMD has overall responsibility for planning, coordinating, and
implementing all human space flight activities and along with other Offices, is responsible for producing research products to protect crew health
and enhance performance. The Johnson Space Center (JSC) will be responsible for
management of all NASA space medical activities in support of human space
flight. Other NASA Centers, as well as external agencies participating
in human space flight activities, is responsible for reporting to JSC for
direct mission-related medical activities.

b. The Associate Administrator (AA) for HEOMD is responsible for
designating a senior manager for space crew health and safety. This
individual will be responsible for the following:

(1) Recommending requirements for space medicine and countermeasures and
propose milestones for deliverables.

(2) Advocating with the AA for HEOMD for on-orbit resources necessary to meet
these milestones.

(2) Ensuring, if appropriate to the Center's role and responsibilities in
human space flight, that the prime objectives of medical activities in
support of ground-based and in-flight tests, checkouts, and simulations
are met. Specifically, these objectives are as follows:

(a) To verify that human support equipment fulfills design, quality, and
safety requirements needed for the useful and efficient functioning of
individuals in both ground-based and in-flight environments.

(b) To ensure that crewmember health is optimized to maximize crewmember
performance during flight.

(c) To establish the requirements for, and collaborate with, the HEOMD to
monitor the progress of health and medical research to support crew
health.

(d) To ensure that environmental, medical, and safety reviews of equipment
and biomedical research protocols are in accordance with the JSC
Institutional Review Board (IRB) standards, including policies and
procedures outlined in NPD 7100.8, Protection of Human Research Subjects.

(e) To conduct hardware tests, verifications, and procedural simulations,
as necessary, of any equipment prior to testing on humans.

6. DELEGATION OF AUTHORITY

None.

7. MEASUREMENT/VERIFICATION

An annual report will be issued by medical operations at JSC to the CHMO, indicating the number of medical events affecting space flight crewmembers that result in adverse mission impact. The lower the number of medical events affecting space flight crewmembers that result in adverse mission impact, the greater the success of the program.